| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,188 |
6,804 |
$1.15M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,211 |
1,069 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
980 |
875 |
$153K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
164 |
158 |
$87K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,444 |
1,121 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
92 |
88 |
$1K |
| 3008F |
|
4,249 |
3,597 |
$1K |
| 36416 |
|
897 |
783 |
$922.95 |
| 80305 |
|
2,414 |
1,994 |
$529.20 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
357 |
326 |
$378.14 |
| 3725F |
|
3,253 |
2,694 |
$193.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
62 |
$190.07 |
| 3078F |
|
130 |
125 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
66 |
64 |
$0.00 |
| 90715 |
|
20 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
779 |
729 |
$0.00 |
| 82962 |
|
417 |
364 |
$0.00 |
| 3074F |
|
194 |
179 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
225 |
204 |
$0.00 |
| 3079F |
|
51 |
49 |
$0.00 |
| 1000F |
|
180 |
160 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 90688 |
|
38 |
29 |
$0.00 |